Fisher one-and-a-half syndrome due to a bulb protuberance cavernoma

The one and a half Fisher syndrome is produced by an unilateral lesion in the dorsal and inferior part of the pons located specifically in the pontine tegmentum. This is an area that contains the medial longitudinal fasciculus (LMF), the paramedian pontine reticular formation (PPRF) and the nucleus...

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Veröffentlicht in:Archivos de la Sociedad Española de Oftalmología (English ed.) 2019-06, Vol.94 (6), p.309-312
Hauptverfasser: Andermatten, J A, Elua Pinin, A, Samprón Lebed, N, Bollar Zabala, A, Arrazola Schlamilch, M, Urculo Bareño, E
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container_issue 6
container_start_page 309
container_title Archivos de la Sociedad Española de Oftalmología (English ed.)
container_volume 94
creator Andermatten, J A
Elua Pinin, A
Samprón Lebed, N
Bollar Zabala, A
Arrazola Schlamilch, M
Urculo Bareño, E
description The one and a half Fisher syndrome is produced by an unilateral lesion in the dorsal and inferior part of the pons located specifically in the pontine tegmentum. This is an area that contains the medial longitudinal fasciculus (LMF), the paramedian pontine reticular formation (PPRF) and the nucleus of the sixth cranial nerve, responsible for the horizontal movements of the gaze. Clinically it manifests with conjugate gaze palsy with internuclear ophthalmoplegia. The case is reported on a 60 year-old patient, who presented with binocular diplopia, ophthalmoplegia and paralysis of the gaze conjugated to the left. Imaging studies were performed that showed a hemi-protuberant haematoma secondary to a cavernoma. As expected, he presented with several episodes of re-bleeding with clinical worsening: headache, diplopia, tetraparesis, and hypoaesthesia in the right side of the face, as such that the microsurgical exeresis of the protuberant cavernoma was considered.
doi_str_mv 10.1016/j.oftal.2018.10.005
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subjects Brain Diseases - etiology
Brain Neoplasms - complications
Brain Stem
Female
Hemangioma, Cavernous - complications
Humans
Male
Middle Aged
Ocular Motility Disorders - etiology
Syndrome
title Fisher one-and-a-half syndrome due to a bulb protuberance cavernoma
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